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1360 S 5th St Suite 270 Saint Charles MO 63301-2449 | |
| (636) 940-2543 | |
| (888) 278-0530 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1360 S 5th St, Saint Charles, Missouri |
| Authorized Official Name and Position | Aaron Blass (PRESIDENT) |
| Authorized Official Contact | 5159651800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1360 S 5th St Suite 270 Saint Charles MO 63301-2449 Ph: (636) 940-2543 | 1360 S 5th St Suite 270 Saint Charles MO 63301-2449 Ph: (636) 940-2543 |
| NPI Number | 1023403433 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023403433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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